Maintenance of physical activity and body weight in relation to subsequent quality of life in postmenopausal breast cancer patients

Background: We prospectively examined the association between physical activity, body weight and quality of life in Dutch postmenopausal early breast cancer patients treated with adjuvant endocrine therapy. Patients and methods: In this side study of a large clinical trial, lifestyle and quality-of-...

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Veröffentlicht in:Annals of oncology 2010-10, Vol.21 (10), p.2094-2101
Hauptverfasser: Voskuil, D.W., van Nes, J.G.H., Junggeburt, J.M.C., van de Velde, C.J.H., van Leeuwen, F.E., de Haes, J.C.J.M.
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container_end_page 2101
container_issue 10
container_start_page 2094
container_title Annals of oncology
container_volume 21
creator Voskuil, D.W.
van Nes, J.G.H.
Junggeburt, J.M.C.
van de Velde, C.J.H.
van Leeuwen, F.E.
de Haes, J.C.J.M.
description Background: We prospectively examined the association between physical activity, body weight and quality of life in Dutch postmenopausal early breast cancer patients treated with adjuvant endocrine therapy. Patients and methods: In this side study of a large clinical trial, lifestyle and quality-of-life questionnaires were filled out 1 and 2 years after the start of endocrine therapy (T1 and T2, respectively) and included a pre-diagnosis lifestyle assessment (T0). A total of 435 breast cancer patients returned both questionnaires. Results: Individuals with a physical activity level above the median who maintained this level from T0 to T1 reported the best global quality of life and physical functioning and the least fatigue at T2, as compared with individuals with low levels of physical activity which further decreased after diagnosis (difference of +16, +14, and -22 points on a 0–100 quality-of-life scale, respectively; P < 0.01). Overweight or obese women who gained body weight after diagnosis reported worst quality of life and most fatigue as compared with women who maintained a stable body weight (difference of -8, -10 and +2 points, respectively; P < 0.01). Conclusion: Maintaining high pre-diagnosis physical activity levels and a healthy body weight is associated with better quality of life after breast cancer.
doi_str_mv 10.1093/annonc/mdq151
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Patients and methods: In this side study of a large clinical trial, lifestyle and quality-of-life questionnaires were filled out 1 and 2 years after the start of endocrine therapy (T1 and T2, respectively) and included a pre-diagnosis lifestyle assessment (T0). A total of 435 breast cancer patients returned both questionnaires. Results: Individuals with a physical activity level above the median who maintained this level from T0 to T1 reported the best global quality of life and physical functioning and the least fatigue at T2, as compared with individuals with low levels of physical activity which further decreased after diagnosis (difference of +16, +14, and -22 points on a 0–100 quality-of-life scale, respectively; P &lt; 0.01). Overweight or obese women who gained body weight after diagnosis reported worst quality of life and most fatigue as compared with women who maintained a stable body weight (difference of -8, -10 and +2 points, respectively; P &lt; 0.01). Conclusion: Maintaining high pre-diagnosis physical activity levels and a healthy body weight is associated with better quality of life after breast cancer.</description><identifier>ISSN: 0923-7534</identifier><identifier>EISSN: 1569-8041</identifier><identifier>DOI: 10.1093/annonc/mdq151</identifier><identifier>PMID: 20357033</identifier><language>eng</language><publisher>Oxford: Elsevier Ltd</publisher><subject>Activities of Daily Living ; Aged ; Antineoplastic agents ; Biological and medical sciences ; Body Weight ; Breast Neoplasms - physiopathology ; Breast Neoplasms - therapy ; early breast cancer ; Exercise - physiology ; Fatigue ; Female ; Gynecology. Andrology. Obstetrics ; Humans ; International Agencies ; Life Style ; Mammary gland diseases ; Medical sciences ; Middle Aged ; Neoplasm Staging ; Overweight ; Pharmacology. 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Patients and methods: In this side study of a large clinical trial, lifestyle and quality-of-life questionnaires were filled out 1 and 2 years after the start of endocrine therapy (T1 and T2, respectively) and included a pre-diagnosis lifestyle assessment (T0). A total of 435 breast cancer patients returned both questionnaires. Results: Individuals with a physical activity level above the median who maintained this level from T0 to T1 reported the best global quality of life and physical functioning and the least fatigue at T2, as compared with individuals with low levels of physical activity which further decreased after diagnosis (difference of +16, +14, and -22 points on a 0–100 quality-of-life scale, respectively; P &lt; 0.01). Overweight or obese women who gained body weight after diagnosis reported worst quality of life and most fatigue as compared with women who maintained a stable body weight (difference of -8, -10 and +2 points, respectively; P &lt; 0.01). 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subjects Activities of Daily Living
Aged
Antineoplastic agents
Biological and medical sciences
Body Weight
Breast Neoplasms - physiopathology
Breast Neoplasms - therapy
early breast cancer
Exercise - physiology
Fatigue
Female
Gynecology. Andrology. Obstetrics
Humans
International Agencies
Life Style
Mammary gland diseases
Medical sciences
Middle Aged
Neoplasm Staging
Overweight
Pharmacology. Drug treatments
physical activity
Postmenopause
Prognosis
Prospective Studies
Quality of Life
Risk Factors
Survival Rate
Tumors
title Maintenance of physical activity and body weight in relation to subsequent quality of life in postmenopausal breast cancer patients
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